WO2012088981A1 - 一体化彩色多普勒超声胆囊镜系统 - Google Patents

一体化彩色多普勒超声胆囊镜系统 Download PDF

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Publication number
WO2012088981A1
WO2012088981A1 PCT/CN2011/083092 CN2011083092W WO2012088981A1 WO 2012088981 A1 WO2012088981 A1 WO 2012088981A1 CN 2011083092 W CN2011083092 W CN 2011083092W WO 2012088981 A1 WO2012088981 A1 WO 2012088981A1
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WO
WIPO (PCT)
Prior art keywords
color doppler
doppler ultrasound
gallbladder
integrated
gallbladder mirror
Prior art date
Application number
PCT/CN2011/083092
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English (en)
French (fr)
Inventor
乔铁
Original Assignee
广州宝胆医疗器械科技有限公司
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Application filed by 广州宝胆医疗器械科技有限公司 filed Critical 广州宝胆医疗器械科技有限公司
Priority to DE212011100192U priority Critical patent/DE212011100192U1/de
Publication of WO2012088981A1 publication Critical patent/WO2012088981A1/zh

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064—Constructional details of the endoscope body
    • A61B1/00071—Insertion part of the endoscope body
    • A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00087—Tools
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/313—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes
    • A61B1/3132—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes for laparoscopy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/06—Measuring blood flow
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/08—Detecting organic movements or changes, e.g. tumours, cysts, swellings
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/12—Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/48—Diagnostic techniques
    • A61B8/488—Diagnostic techniques involving Doppler signals

Definitions

  • the invention belongs to the field of medical instruments, and particularly relates to an integrated color Doppler ultrasound gallbladder mirror system.
  • Doppler ultrasound technology is now widely used in the medical field. Its principle is to use the Doppler effect, that is, the sound frequency changes when the sound source and the measured object move relative to each other.
  • the Doppler ultrasound technology is based on the change of the ultrasonic frequency. Observe and measure the hemodynamic changes in human tissues and organs.
  • the advantages of Doppler ultrasound technology are: 1. It can quickly and visually display the two-dimensional plane distribution state of blood flow; 2. It can display the running direction of blood flow; 3. It is beneficial to distinguish arteries and veins; 4. It is beneficial to identify vascular lesions. And non-vascular lesions; 5. Conducive to understanding the nature of blood flow; 6.
  • the color Doppler ultrasound module is integrated into the hard gallbladder mirror, and the new technique of advanced color Doppler ultrasound scanning diagnosis is provided at the same time, and the analysis data of the blood vessels of the gallbladder wall are provided for the diagnosis of gallbladder disease. Provide new perspectives and new tools. There is currently no integrated endoscope system that combines the two.
  • the object of the present invention is to integrate a color Doppler ultrasound module into a gallbladder mirror system, and perform color Doppler ultrasound scanning on the gallbladder wall tissue through a color Doppler ultrasound module, and the obtained data is transmitted to a color Doppler ultrasound system.
  • the host performs image processing to provide a new basis for doctor diagnosis.
  • the present invention is achieved in the following manner:
  • the integrated color Doppler ultrasound gallbladder mirror system of the present invention comprises a color Doppler ultrasound gallbladder mirror and a camera host and an endoscope monitor connected thereto, a cold light source host, and a color Doppler ultrasound system, wherein the color
  • the Doppler ultrasound system includes a color Doppler ultrasound system host and a color Doppler ultrasound system monitor.
  • the integrated color Doppler ultrasound gallbladder mirror according to the present invention is divided into the following forms according to the optical system and structure used therein: the first form is a hard integrated color using an electronic ccd optical system. Doppler ultrasound cholecystoscope, the second form is a rigid integrated color Doppler ultrasound cholecystoscope using a prismatic optical system, and the third form is a soft integrated color Doppler ultrasound gallbladder using an electronic ccd optical system The fourth form of the mirror is a soft integrated color Doppler ultrasound gallbladder mirror using a prismatic optical system.
  • the first form of the integrated color Doppler ultrasound cuffoscope can be equipped with a handle with an integral connector inside, which integrates the functions of a cold light source connector and a data connector.
  • the first and second forms of working end are made of hard material, are non-bendable, and have a diameter less than or equal to
  • the working end of the working end is made of soft fiber material, the outer diameter is less than or equal to 12mm, the working end is less than or equal to 500mm, and the third form optical system is in the form of electronic ccd, and the ccd optical system device is working.
  • the front end of the end using a diameter of 1. 5 ⁇ 3. 0mm optical lens CCD optical system, its CCD chip uses 1/4", at least 480,000 effective pixel CCD, lens field of view 100 ° or more, the fourth form 0 ⁇ 3. 0mm ⁇
  • the lens diameter is 1. 5 ⁇ 3. 0mm.
  • the first and second forms of the instrument channel are linear, and the inner diameter is 3.0 mm or more.
  • the first and second forms of the influent channel and the outlet channel are located on both sides of the endoscope, and have an inner diameter of 1.0 mm or more.
  • the color Doppler ultrasound module of the integrated color Doppler ultrasound gallbladder mirror according to the invention is integrated in the end of the endoscope, and can be extended by the micro motor to extend the end surface of the endoscope 10 ⁇ 50mm, color
  • the maximum diameter of the Doppler ultrasound module is less than or equal to 3.0 mm
  • the scanning portion of the color Doppler ultrasound module has a cylindrical structure, an internally designed color Doppler ultrasound transmitter, a color Doppler ultrasound receiver, and a processing chip.
  • the color Doppler ultrasound transmitter, the color Doppler ultrasound receiver and the processing chip are designed on the same rotatable carrier, and the carrier can perform rotational motion and linear motion under the driving of the micro motor.
  • the color Doppler ultrasound module has a frequency greater than or equal to 5.0 MHz, and the processing chip of the color Doppler ultrasound module calculates and processes the difference between the transmitted and received ultrasonic frequencies, and passes the key data through the integrated color Doppler ultrasound gallbladder mirror.
  • the data connector is transmitted to the host of the color Doppler ultrasound system for further analysis, and the image is output to the monitor display.
  • the color Doppler ultrasound module of the present invention has the following working principle: the color Doppler ultrasound module is an ultrasonic wave emitted by a red blood cell and a color Doppler ultrasound transmitter that utilizes blood flow in a rich blood vessel inside the tissue.
  • the Doppler effect is achieved by the processing chip.
  • the key data is transmitted to the color Doppler ultrasound system.
  • the host performs image processing analysis to obtain the flow rate map and flow rate map of the blood flow of the tissue blood vessel, and displays it in the monitor.
  • the contrast analysis of the normal blood flow velocity and flow rate of the gallbladder site by the host of the color Doppler ultrasound system can be performed. Provide the doctor to determine the type of lesions that occur in the gallbladder and help the doctor diagnose.
  • the color Doppler ultrasound system of the present invention includes a color Doppler ultrasound system host and its operating keyboard or handheld device, monitor.
  • the color Doppler ultrasound system host of the present invention has the functions of: phase-detecting the obtained blood flow information, Autocorrelation processing, color grayscale coding, displaying the average blood flow velocity data in color, and combining them, superimposed and displayed on the image. It visually displays blood flow, shows the distribution of blood flow properties and flow rate in the gallbladder and its tissues faster and more intuitively than pulsed Doppler, and enables continuous wave Doppler mode display. And operating the keyboard or handheld operating device, providing a wealth of control buttons, the output port of the rear panel is externally connected to the operating keyboard or handheld operating device, monitor, and the like.
  • the color Doppler ultrasound system host of the present invention can have a powerful database and a powerful software test package, which can meet the different needs of doctors in different subjects.
  • the operation key or the handheld device of the color Doppler ultrasound system of the present invention has the function of controlling the color Doppler ultrasound module of the integrated color Doppler ultrasound gallbladder mirror, and switching the scanning mode and the display mode, etc. And so on.
  • the integrated color Doppler ultrasound cholecystoscope system of the present invention has the following clinical surgical methods: After the patient disinfects the towel, the doctor makes an incision in the abdominal wall of the patient and passes through the trans-sac device, and passes through the perforator into the abdominal cavity. Mirror and do pneumoperitoneum, extract the gallbladder to the outside under laparoscopic direct vision, make a small incision at the bottom of the gallbladder, so that the integrated color Doppler ultrasound gallbladder enters the gallbladder cavity, extracts the bile and saves it through the inlet channel.
  • the saline fills the gallbladder, the monitor outputs a clear image in the gallbladder cavity, and enters various instruments through the instrument channel, the water inlet channel and the water outlet channel, and can perform intracavitary intracavitary surgery to treat diseases such as stone polyps;
  • the Doppler effect of sound waves is widely used in medical diagnosis.
  • Color Doppler ultrasound scanning has been widely used as a basis for examination and diagnosis in various fields including gynecology and gastroenterology.
  • the color Doppler ultrasound module is integrated into the gallbladder mirror, and color Doppler ultrasound imaging is performed on the gallbladder wall tissue by color Doppler ultrasound.
  • the lesions in the gallbladder cavity can be processed simultaneously without replacing the endoscope.
  • the condition of the gallbladder wall tissue is examined, which saves the operation time, improves the success rate of the operation and reduces the recurrence rate.
  • Figure 1 is a schematic illustration of an integrated color Doppler ultrasound gallbladder mirror system of the present invention.
  • 2A is a schematic view showing the appearance of a first form of color Doppler ultrasound gallbladder mirror
  • 2B is a schematic view showing the appearance of a second form of color Doppler ultrasound gallbladder mirror
  • 2C is a schematic view showing the appearance of a third form of color Doppler ultrasound gallbladder mirror
  • 2D is a schematic view showing the appearance of a fourth form of color Doppler ultrasound gallbladder mirror
  • 2A1 is a schematic view showing the appearance of another variation of the first form of color Doppler ultrasound gallbladder
  • FIG. 3A is a schematic view of the end of the first form of color Doppler ultrasound gallbladder
  • Figure 3B is a schematic end view of a second form of color Doppler ultrasound gallbladder
  • Figure 3C is a schematic end view of a third and fourth form of color Doppler ultrasound gallbladder
  • FIG. 4 is a schematic view showing the structure of a color Doppler ultrasound module of the present invention.
  • Figure 5 is a schematic illustration of the clinical procedure of the integrated color Doppler ultrasound cholecystoscope system of the present invention.
  • the integrated color Doppler ultrasound gallbladder mirror system of the present invention comprises a color Doppler ultrasound gallbladder mirror 1, a cold light source host 2, a camera host 3, a color Doppler ultrasound system host 4, and operation.
  • the color Doppler ultrasound system main unit 4 is also connected with an operation panel, and the control panel is provided on the hand-held operation device 5 and the operation panel.
  • FIGS. 2A, 2B, 2C and 2D are schematic views showing the appearance of three different forms of the color Doppler ultrasound gallbladder mirror 1 of the present invention:
  • the first form is a rigid integrated color Doppler ultrasound gallbladder mirror using an electronic ccd optical system, which is provided with a hard working end portion 11, a cold light source connector 12, a data connector 13, and a device. Channel 14, inlet channel 15 and outlet channel 16.
  • the cold light source connector 12 is connected to the cold light source host 2
  • the data connector 13 is connected to the camera host 3 and the color Doppler ultrasound system host 4.
  • the second form is a rigid integrated color Doppler ultrasound gallbladder mirror using a prismatic optical system, which is provided with a rigid working end portion 11, a cold light source connector 12, a data connector 13, an eyepiece input. End 17, water inlet passage 15 and water outlet passage 16.
  • the cold light source connector 12 is connected to the cold light source host 2
  • the data connector 13 is connected to the color Doppler ultrasound system host 4
  • the eyepiece input terminal 17 is connected to the camera host 3.
  • the third form is a soft integrated color Doppler ultrasound gallbladder mirror using an electronic ccd optical system with a soft working end 91, a data connector 94, an instrument channel 92 and an operating handle. 93.
  • the data connector 84 is connected to the camera host 3 and the color Doppler ultrasound system host 4.
  • the fourth form is a soft integrated color Doppler ultrasound gallbladder mirror using a prismatic optical system, which is provided with a soft working end portion 91, a data connector 94, an instrument channel 92, and an operating handle 93. And eyepiece input 95.
  • the data connector 94 is connected to the color Doppler ultrasound system main unit 4, and the eyepiece input terminal 95 is connected to the camera host 3.
  • FIG. 2A1 A variation of the first form is shown in Figure 2A1, which employs an electronic ccd optical system with a rigid working end 11, a handlebar 18, an integral joint 181, an instrument channel 14, a water inlet passage 15 and a effluent Channel 16. among them,
  • the integrated connector 181 integrates the functions of the cold light source connector and the data connector 13.
  • the first portion and its variation of the tip end portion 111 of the integrated color Doppler ultrasound gallbladder mirror 1 are integrally designed with the following parts: an optical lens 131, a color Doppler ultrasound module 132, and a light guide.
  • the tip end portion 111 of the second form of the integrated color Doppler ultrasound gallbladder mirror 1 is integrally designed with the following parts: an optical lens 171, a color Doppler ultrasound module 132, a light guiding fiber 121, into Water passage outlet 151 and outlet passage outlet 161.
  • the first end portion 911 of the third and fourth forms of the integrated color Doppler ultrasound gallbladder mirror 1 is integrated with the following parts: optical lens 941, color Doppler ultrasound module 132, light guide Fiber 942, instrument channel outlet 921.
  • FIG. 4 is a schematic view showing the structure of the color Doppler ultrasound module 132 of the integrated color Doppler ultrasound gallbladder mirror 1 according to the present invention.
  • the color Doppler ultrasound module 132 has a maximum diameter of less than or equal to 3. 0 mm, color Doppler, and the color Doppler ultrasound module 132 has a maximum diameter of less than or equal to 3. 0 mm, color Doppler.
  • the scanning portion 1321 of the ultrasound module 132 is cylindrical in structure, an internally designed color Doppler ultrasound transmitter 1322, a color Doppler ultrasound receiver 1323 and a processing chip, a color Doppler ultrasound transmitter 1322, and a color Doppler ultrasound.
  • the receiver 1323 and the processing chip are designed on the same rotatable carrier, and the carrier can perform rotational motion and linear motion under the driving of the micro motor.
  • the color Doppler ultrasound module 132 has a frequency greater than or equal to 5.0 MHz, and the processing chip of the color Doppler ultrasound module 132 calculates and processes the difference between the transmitted and received ultrasonic frequencies, and passes the key data through the integrated color Doppler ultrasound gallbladder.
  • the data connector 14 of the mirror 1 is transmitted to the color Doppler ultrasound system main unit 4 for further analysis, and the image output is displayed to the monitor 6.
  • FIG. 5 is a schematic view showing the clinical operation of the integrated color Doppler ultrasound cholecystoscope system according to the present invention.
  • the doctor makes an incision in the abdominal wall of the patient and passes through the sputum, through the laparoscopic laparoscopic and pneumoperitoneum, and extracts the gallbladder 8 to the outside of the body under laparoscopic direct vision, at the bottom of the gallbladder 8
  • the micro-incision allows the integrated color Doppler ultrasound cholecystoscope 1 to enter the gallbladder cavity, extract the bile and use the influent channel 15 to pass the physiological saline to fill the gallbladder, and the monitor 7 outputs 8 clear images in the gallbladder cavity through the instrument channel.
  • the water inlet channel 15 and the water outlet channel 16 enter various instruments, and can perform operations in the gallbladder cavity 8 to treat diseases such as stone polyps.
  • an integrated color Doppler ultrasound cholecystoscope is required. 1
  • the color Doppler ultrasound module 132 of the apex portion 111 after the color Doppler ultrasound module 132 is activated, extends a certain distance from the endoscope end portion 111, performs color Doppler ultrasound scanning for the gallbladder cavity 8, and transmits data to the color Doppler
  • the ultrasound system host 4 performs calculation analysis and outputs to 6, providing a basis for the doctor to diagnose the state of the gallbladder wall and surrounding tissues.
  • the inventive concept is not limited to the gallbladder mirror system, but can also be widely applied to choledochoscopy systems, cystoscopy systems, anorectal mirrors.
  • System capsule enteroscopy, hysteroscopic system, laryngoscope system, esophagoscopy system, fallopian tube system, ureteroscope system, colposcopy system, bronchoscopy system, ventricle system, duodenoscopy system, gastroscope system, Arthroscopy system, etc.

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Description

一体化彩色多普勒超声胆囊镜系统
技术领域
本发明属于医用器械领域， 具体涉及一体化彩色多普勒超声胆囊镜系统。
现有技术
多普勒超声技术现在医学领域被广泛应用，其原理是利用多普勒效应， 即声源与被测 物体相对运动时产生声频的改变，多普勒超声技术就是根据这种超声波频率的改变来观察 和测定人体组织和脏器的血流动力学变化的。 多普勒超声技术的优点有： 1. 能快速直观 显示血流的二维平面分布状态； 2. 可显示血流的运行方向； 3. 有利于辨别动脉和静脉； 4. 有利于识别血管病变和非血管病变； 5.有利于了解血流的性质； 6.能方便了解血流的 时相和速度， 目前可检测直径 0.2mm血管内的血流信息及 0.2cm/S的低速血流； 7.能可靠 地发现分流和返流； 8.能对血流束的起源，宽度，长度，面积进行定量分析。
把彩色多普勒超声模块集成于硬质胆囊镜之中，治疗的同时进行先进的彩色多普勒超 声扫描诊断的新技术，提供胆囊壁间血管的动态图等分析数据，为胆囊病的诊断提供新的 视角和新的手段。 目前尚没有出现两者结合的一体化内窥镜系统。
发明内容
本发明的目的在于把彩色多普勒超声模块集成在胆囊镜系统中，通过彩色多普勒超声 模块对胆囊壁间组织进行彩色多普勒超声扫描，得到的数据传输至彩色多普勒超声系统主 机进行图像处理， 为医生诊断提供新的依据。
本发明是通过以下方式来实现的：
本发明所述的一体化彩色多普勒超声胆囊镜系统，包括彩色多普勒超声胆囊镜以及与 之连接的摄像主机及内镜监视器、冷光源主机、彩色多普勒超声系统， 其中彩色多普勒超 声系统包括彩色多普勒超声系统主机及彩色多普勒超声系统监视器。
本发明所述的一体化彩色多普勒超声胆囊镜， 按其所采用的光学系统以及结构的不 同，分为以下几个形式：第一种形式是使用电子 ccd光学系统的硬质一体化彩色多普勒超 声胆囊镜，第二种形式是采用棱镜光学系统的硬质一体化彩色多普勒超声胆囊镜，第三种 形式是采用电子 ccd光学系统的软质一体化彩色多普勒超声胆囊镜，第四种形式是采用棱 镜光学系统的软质一体化彩色多普勒超声胆囊镜。其中第一种形式的一体化彩色多普勒超 声胆囊镜可设有把手，手把内安装有一体化接头，该接头集成了冷光源接头和数据接头的 功能。
第一种和第二种形式的工作端部为硬质材料所制造，具有不可弯曲性，直径小于等于
12mm, 工作端部长 250〜300mm， 工作端部的先端部为了避免损伤粘膜组织的需要， 需要 把先端部设计成钝型，第一种形式光学系统使用电子 ccd形式，其 ccd光学系统装置在工 作端部前端， 采用直径 1. 5〜3. 0mm光学镜头的 CCD光学系统， 其 CCD芯片采用 1/4" ， 至少 48万有效像素的 CCD，镜头视场角 100 ° 或以上，第二种形式采用棱镜光学系统形式， 其光学镜头直径采用 1. 5〜3. 0mm; 第三和第四种工作形式的工作端部的先端部为软质纤 维材料所制造， 其外径小于等于 12mm， 工作端部长小于等于 500mm， 第三种形式光学系统 采用电子 ccd形式， 其 ccd光学系统装置在工作端部前端， 采用直径 1. 5〜3. 0mm光学镜 头的 CCD光学系统，其 CCD芯片采用 1/4" ，至少 48万有效像素的 CCD,镜头视场角 100 ° 或以上， 第四种形式采用光导纤维光学系统， 其镜头直径采用 1. 5〜3. 0mm。
本发明所述的一体化彩色多普勒超声胆囊镜，其第一种和第二种形式的器械通道为直 线状， 内径大于等于 3.0mm。
本发明所述的一体化彩色多普勒超声胆囊镜，其第一种和第二种形式的进水通道和出 水通道位于内镜的两侧， 其内径大于等于 1.0mm。
本发明所述的一体化彩色多普勒超声胆囊镜的彩色多普勒超声模块，该模块集成于内 镜先端部， 可以在微型电机的驱动下伸出内镜先端部平面 10〜50mm， 彩色多普勒超声模 块的最大直径小于等于 3. 0mm， 彩色多普勒超声模块的扫描部分结构为圆柱形， 内部设计 的彩色多普勒超声发射器、 彩色多普勒超声接收器及处理芯片， 彩色多普勒超声发射器、 彩色多普勒超声接收器及处理芯片设计在同一块可旋转的载体上，载体可在微型电机的驱 动下做旋转运动和线性运动。 彩色多普勒超声模块的频率大于等于 5. 0MHz , 彩色多普勒 超声模块的处理芯片对发射和接收的超声波频率的差异进行计算处理，把关键数据通过一 体化彩色多普勒超声胆囊镜的数据接头传输至彩色多普勒超声系统主机进行进一步分析， 图像输出至监视器显示。
本发明所述的彩色多普勒超声模块，其工作原理如下所述：彩色多普勒超声模块是利 用组织内部丰富的血管里的血流的红细胞与彩色多普勒超声发射器发射的超声波之间的 多普勒效应实现显像的，处理芯片通过处理彩色多普勒超声发射器发射的超声波与返回的 超声波之间的一系列电子处理数据后，把关键数据传输至彩色多普勒超声系统主机进行图 像处理分析， 得到组织血管的血流的流速图、流量图， 并在监视器中显示出来， 通过彩色 多普勒超声系统主机对胆囊部位的正常血流流速和流量的对比分析，可以提供医生判断胆 囊发生的病变的类型， 帮助医生进行诊断。
本发明所述的彩色多普勒超声系统，其系统包括彩色多普勒超声系统主机及其操作键 盘或手持设备、 监视器。
本发明所述的彩色多普勒超声系统主机，其功能包括:把所得的血流信息经相位检测、 自相关处理、彩色灰阶编码， 把平均血流速度资料以彩色显示， 并将其组合， 叠加显示在 图像上。它能直观地显示血流，对血流的性质和流速在胆囊及其组织内的分布较脉冲多普 勒更快、更直观地显示， 并能进行连续波多普勒模式的显示， 其操作面板和操作键盘或者 手持操作设备，提供丰富的控制按钮，其后面板的输出端口外接操作键盘或手持操作设备、 监视器等。
本发明所述的彩色多普勒超声系统主机，可以自带有强大的数据库和功能强大的软件 测试包， 可以满足不同科目的医生不同的需要。
本发明所述的彩色多普勒超声系统的操作键或手持设备，其功能是对一体化彩色多普 勒超声胆囊镜的彩色多普勒超声模块进行控制， 对扫描方式和显示方式等进行切换等作 用。
本发明所述的一体化彩色多普勒超声胆囊镜系统，其临床手术方法如下所述： 患者消 毒铺巾后， 医生在患者腹壁做切口并通入穿剌器， 经穿剌器通入腹腔镜并做气腹， 在腹腔 镜的直视下提取胆囊至体外，在胆囊底部做微小切口，使得一体化彩色多普勒超声胆囊镜 进入胆囊腔内，抽取胆汁保存并利用进水通道通入生理盐水使得胆囊充盈，监视器输出胆 囊腔内的清晰图像， 通过器械通道、进水通道和出水通道进入各种器械， 可以进行胆囊腔 内手术， 处理结石息肉等病症； 要对检测胆囊壁间的状况， 则需要启动一体化彩色多普勒 超声胆囊镜先端部的彩色多普勒超声模块，彩色多普勒超声模块启动后伸出内镜先端部若 干距离，为胆囊腔做彩色多普勒超声扫描，数据传输至彩色多普勒超声系统主机进行计算 分析， 输出到监视器， 提供医生诊断胆囊壁及周围组织状态的依据。
与现有技术相比， 本发明的有益效果是：
声波的多普勒效应广泛用于医学的诊断，在包括妇科，消化科等多个领域已经普遍地 采用了彩色多普勒超声扫描作为检查和诊断的依据。 将彩色多普勒超声模块集成于胆囊 镜，利用彩色多普勒超声对胆囊壁组织进行彩色多普勒超声扫描成像，在不更换内镜的情 况下能同时对胆囊腔内病变进行处理和对胆囊壁间组织的状况进行检查， 节省了手术时 间， 提高了手术的成功率和降低了复发率。
附图说明
图 1是本发明的一体化彩色多普勒超声胆囊镜系统示意图。
图 2A是第一种形式彩色多普勒超声胆囊镜的外观结构示意图；
图 2B是第二种形式彩色多普勒超声胆囊镜的外观结构示意图；
图 2C是第三种形式彩色多普勒超声胆囊镜的外观结构示意图；
图 2D是第四种形式彩色多普勒超声胆囊镜的外观结构示意图； 图 2A1是第一种形式彩色多普勒超声胆囊镜的另一种变化形式的外观结构示意图； 图 3A是第一种形式的彩色多普勒超声胆囊镜的端部示意图；
图 3B是第二种形式的彩色多普勒超声胆囊镜的端部示意图；
图 3C是第三种和第四种形式的彩色多普勒超声胆囊镜的端部示意图；
图 4是本发明的彩色多普勒超声模块的结构示意图。
图 5是本发明的一体化彩色多普勒超声胆囊镜系统的临床手术示意图。
具体实施方式
下面结合附图对本发明作进一步的详述：
如图 1所示，本发明所述的一体化彩色多普勒超声胆囊镜系统包括彩色多普勒超声胆 囊镜 1、冷光源主机 2、摄像主机 3、彩色多普勒超声系统主机 4、操作键盘或手持操作设 备 5、 彩色多普勒超声系统监视器 6和内镜监视器 7。 其中， 彩色多普勒超声系统主机 4 还连接有操作面板， 手持操作设备 5和操作面板上设有控制按钮。
如图 2A、 图 2B、 图 2C和图 2D示出了本发明中的彩色多普勒超声胆囊镜 1三种不同 形式的外观结构示意图：
如图 2A所示， 第一种形式是使用电子 ccd光学系统的硬质一体化彩色多普勒超声胆 囊镜， 其设有由硬质工作端部 11， 冷光源接头 12， 数据接头 13， 器械通道 14， 进水通道 15和出水通道 16。 其中， 冷光源接头 12与冷光源主机 2相连接， 而数据接头 13与摄像 主机 3和彩色多普勒超声系统主机 4相连接。
如图中 2B所示， 第二种形式是采用棱镜光学系统的硬质一体化彩色多普勒超声胆囊 镜， 其设有硬质工作端部 11， 冷光源接头 12， 数据接头 13， 目镜输入端 17， 进水通道 15和出水通道 16。 其中， 冷光源接头 12与冷光源主机 2相连接， 数据接头 13与彩色多 普勒超声系统主机 4相连接， 而目镜输入端 17与摄像主机 3相连接。
如图中 2C所示， 第三种形式是采用电子 ccd光学系统的软质一体化彩色多普勒超声 胆囊镜， 其设有软质工作端部 91， 数据接头 94， 器械通道 92和操作手柄 93。 其中， 数 据接头 84与摄像主机 3和彩色多普勒超声系统主机 4相连接。
如图中 2D所示， 第四种形式是采用棱镜光学系统的软质一体化彩色多普勒超声胆囊 镜， 其设有软质工作端部 91， 数据接头 94， 器械通道 92、操作手柄 93和目镜输入端 95。 其中， 数据接头 94与彩色多普勒超声系统主机 4相连接， 而目镜输入端 95与摄像主机 3 相连接。
如图中 2A1所示为第一种形式的变化形式，其采用电子 ccd光学系统，设有硬质工作 端部 11， 手把 18， 一体化接头 181， 器械通道 14， 进水通道 15和出水通道 16。 其中， 一体化接头 181集成了冷光源接头和数据接头 13的功能。
如图 3A所示， 第一种形式及其变化形式的一体化彩色多普勒超声胆囊镜 1的先端部 111集成设计了以下各个部分： 光学镜头 131， 彩色多普勒超声模块 132， 导光光纤 121， 器械通道出口 141， 进水通道出口 151和出水通道出口 161。
如图 3B所示， 第二种形式的一体化彩色多普勒超声胆囊镜 1的先端部 111集成设计 了以下各个部分： 光学镜头 171， 彩色多普勒超声模块 132， 导光光纤 121， 进水通道出 口 151和出水通道出口 161。
如图 3C所示， 第三种和第四种形式的一体化彩色多普勒超声胆囊镜 1的先端部 911 集成设计了以下各个部分： 光学镜头 941， 彩色多普勒超声模块 132， 导光光纤 942， 器 械通道出口 921。
如图 4所示为本发明中所述的一体化彩色多普勒超声胆囊镜 1的彩色多普勒超声模块 132的结构示意图。 该模块 132集成于内镜先端部 111， 可以在微型电机的驱动下伸出内 镜先端部 111平面 10〜50mm，彩色多普勒超声模块 132的最大直径小于等于 3. 0mm,彩色 多普勒超声模块 132的扫描部分 1321结构为圆柱形， 内部设计的彩色多普勒超声发射器 1322、 彩色多普勒超声接收器 1323及处理芯片， 彩色多普勒超声发射器 1322、 彩色多普 勒超声接收器 1323及处理芯片设计在同一块可旋转的载体上， 载体可在微型电机的驱动 下做旋转运动和线性运动。 彩色多普勒超声模块 132的频率大于等于 5. 0MHz , 彩色多普 勒超声模块 132的处理芯片对发射和接收的超声波频率的差异进行计算处理，把关键数据 通过一体化彩色多普勒超声胆囊镜 1的数据接头 14传输至彩色多普勒超声系统主机 4进 行进一步分析， 图像输出至监视器 6显示。
如图 5所示是本发明所述的一体化彩色多普勒超声胆囊镜系统的临床手术示意图。患 者消毒铺巾后， 医生在患者腹壁做切口并通入穿剌器， 经穿剌器通入腹腔镜并做气腹， 在 腹腔镜的直视下提取胆囊 8至体外，在胆囊 8底部做微小切口，使得一体化彩色多普勒超 声胆囊镜 1进入胆囊腔内，抽取胆汁保存并利用进水通道 15通入生理盐水使得胆囊充盈， 监视器 7输出胆囊腔内 8清晰图像， 通过器械通道 14、 进水通道 15和出水通道 16进入 各种器械， 可以进行胆囊腔 8内手术， 处理结石息肉等病症； 要对检测胆囊壁间的状况， 则需要启动一体化彩色多普勒超声胆囊镜 1先端部 111的彩色多普勒超声模块 132，彩色 多普勒超声模块 132启动后伸出内镜先端部 111若干距离，为胆囊腔 8做彩色多普勒超声 扫描， 数据传输至彩色多普勒超声系统主机 4进行计算分析， 输出到 6， 提供医生诊断胆 囊壁及周围组织状态的依据。
该发明构思不限于胆囊镜系统， 还能广泛地应用于胆道镜系统、膀胱镜系统、肛肠镜 系统、 胶囊小肠镜系统、 宫腔镜系统、 喉镜系统、 食管镜系统、 输卵管镜系统、 输尿管镜 系统、 阴道镜系统、 支气管镜系统、 脑室镜系统、 十二指肠镜系统、 胃镜系统、 关节镜系 统等。

Claims

权 利 要 求 书
1、 一体化彩色多普勒超声胆囊镜系统， 其特征在于： 包括彩色多普勒超声胆囊镜以 及与之相连的摄像主机及内镜监视器、 冷光源主机、 彩色多普勒超声系统， 所述彩色多普 勒超声系统包括彩色多普勒超声系统主机及彩色多普勒超声系统监视器， 所述彩色多普勒 超声胆囊镜设有工作端部、 冷光源接头和数据接头， 所述彩色多普勒超声胆囊镜工作端部 的先端部集成有彩色多普勒超声模块、 内镜镜头和导光纤维。
2、 如权利要求 1所述的一体化彩色多普勒超声胆囊镜系统， 其特征在于： 所述彩色多 普勒超声胆囊镜还设有进水通道、 出水通道和器械通道。
3、 如权利要求 1 所述的一体化彩色多普勒超声胆囊镜系统， 其特征在于： 所述彩色 多普勒超声胆囊镜设有进水通道、 出水通道和目镜输入端。
4、 如权利要求 1 所述的一体化彩色多普勒超声胆囊镜系统， 其特征在于： 所述彩色 多普勒超声胆囊镜还设有进水通道、 出水通道、 器械通道和把手， 所述把手内设有一体化 接头。
5、 根据权利要求 1所述的一体化彩色多普勒超声胆囊镜系统， 其特征在于： 所述彩色 多普勒超声扫描模块内设有一可旋转的载体， 该载体上设置有彩色多普勒超声发射器、 彩 色多普勒超声接收器及处理芯片。
6、 根据权利要求 5所述的一体化彩色多普勒超声胆囊镜系统， 其特征在于： 所述彩色 多普勒超声胆囊镜内设有用于驱动所述载体做旋转运动和线性运动的微型电机。
7、 根据权利要求 1所述的一体化彩色多普勒超声胆囊镜系统， 其特征在于： 所述彩 色多普勒超声系统还包括与所述彩色多普勒超声系统主机相连接的操作面板、操作键盘或 者手持操作设备， 所述操作面板、 操作键盘或者手持操作设备设有控制按钮。
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CN102018492A (zh) * 2010-12-30 2011-04-20 广州宝胆医疗器械科技有限公司 一体化彩色多普勒超声胆囊镜系统
CN102028507A (zh) * 2010-12-30 2011-04-27 广州宝胆医疗器械科技有限公司 一体化彩色多普勒超声宫腔镜系统
CN102028505A (zh) * 2010-12-30 2011-04-27 广州宝胆医疗器械科技有限公司 一体化彩色多普勒超声膀胱镜系统

Cited By (1)

* Cited by examiner, † Cited by third party
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CN110025383A (zh) * 2019-02-20 2019-07-19 广州乔铁医疗科技有限公司 一种具有彩色多普勒超声功能的机器人医学镜系统

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